Upper Cumberland Otolaryngology Clinic, PC
Upper Cumberland Otolaryngology Clinic, PC was paid $1.83M by Medicaid between Jan 2018 and Dec 2024, across 16 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 25% of everything it billed.
33Billing provider infoUPPER CUMBERLAND OTOLARYNGOLOGY CLINIC, PC
COOKEVILLE, TN 38501
COOKEVILLE, TN 38501
33aNPI1598821464assigned 12/28/2006
33bProvider typeSpecialist
28Total paid$1.83M
24GClaims50,389
24DCodes billed16
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Specialist providers in Tennessee
Rank by total paid#17 of 252
Median peer was paid$57K
This provider vs. median32×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 7,108 | $259K | |
| 2019 | 8,149 | $310K | |
| 2020 | 6,157 | $192K | |
| 2021 | 6,626 | $195K | |
| 2022 | 7,216 | $253K | |
| 2023 | 8,303 | $354K | |
| 2024incomplete | 6,830 | $268K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 25% | 14,748 | 13,477 | $450K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | 14% | 1,897 | 1,549 | $258K |
| 99243 | 13% | 3,182 | 3,083 | $243K | |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 10% | 3,995 | 3,681 | $190K |
| 92588 | 9.2% | 3,845 | 3,647 | $169K | |
| 92567 | 9.1% | 14,803 | 13,842 | $167K | |
| 92557 | 4.9% | 4,248 | 3,909 | $89K | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.7% | 1,146 | 1,051 | $86K |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | 4.0% | 392 | 339 | $73K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 2.9% | 1,114 | 1,020 | $54K |
| 99244 | Office or other outpatient consultation, moderate to high complexity | 2.0% | 316 | 311 | $37K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 359 | 331 | $8K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSMITH, CINDY (BUSINESS MANAGER)
| Provider | Location | Paid |
|---|---|---|
| Affiliated Community Medical Centers, LTD | Willmar, MN | $4.64M |
| The Cookeville Surgery Center | Cookeville, TN | $1.62M |
| Charles G Kissel DPM PC | Warren, MI | $1.25M |
| Rochester School District | Rochester, WA | $158K |
| Foot and Ankle Specialists of Michigan PLLC | Berkley, MI | $131K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.